Agency Information Collection Activities: Submission for OMB Review; Comment Request, 4583-4584 [06-605]
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Federal Register / Vol. 71, No. 18 / Friday, January 27, 2006 / Notices
Association, New Lenox, Illinois (in
organization).
Board of Governors of the Federal Reserve
System, January 24, 2006.
Robert deV. Frierson,
Deputy Secretary of the Board.
[FR Doc. E6–1051 Filed 1–26–06; 8:45 am]
BILLING CODE 6210–01–S
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–855]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS), Department of Health
and Human Services, is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate or any other aspect of this
collection of information, including any
of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the Agency’s function;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Medicare
Enrollment Application; Form No.:
CMS–855 (OMB #0938–0685); Use: This
application is currently required of all
health care providers/suppliers who
wish to enroll in the Medicare program.
It is submitted when an applicant
chooses to enroll into the Medicare
program or when an enrolled provider
or supplier reports a change to their
Medicare information. The application
is used by a Medicare fee-for-service
contractor to collect data to assure the
applicant meets all Federal and State
requirements to provide health care
services to Medicare beneficiaries. This
application also allows a Medicare feefor-service contractor to ensure that the
rmajette on PROD1PC67 with NOTICES
AGENCY:
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provider/supplier is not sanctioned
from the Medicare program, or debarred,
suspended or excluded from any other
Federal agency or program.; Frequency:
Reporting—Other—; Affected Public:
Business or other for-profit, Individuals
or Households, Not-for-profit
institutions; Number of Respondents:
400,000; Total Annual Responses:
400,000; Total Annual Hours: 1,200,000.
To obtain copies of the supporting
statement and any related forms for
these paperwork collections referenced
above, access CMS Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995, or email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (410) 786–
1326.
To be assured consideration,
comments and recommendations for the
proposed information collections must
be received by the OMB Desk Officer at
the address below, no later than 5 p.m.
on February 27, 2006.
OMB Human Resources and Housing
Branch, Attention: Carolyn Lovett, CMS
Desk Officer, New Executive Office
Building, Room 10235, Washington, DC
20503.
Dated: January 20, 2006.
Michelle Shortt,
Acting Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 06–749 Filed 1–26–06; 8:45 am]
BILLING CODE 4120–01–M
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–1557, CMS–R–
0074, CMS–416, CMS–437A and 437B]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS), Department of Health
and Human Services, is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate or any other aspect of this
collection of information, including any
of the following subjects: (1) The
AGENCY:
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4583
necessity and utility of the proposed
information collection for the proper
performance of the Agency’s function;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Survey Report
Form Clinical Laboratory Improvement
Amendments (CLIA) and supporting
regulations under 42 CFR 493.1–
493.2001; Form Number: CMS–1557
(OMB#: 0938–0544); Use: This form is
used by the State agency to determine
a laboratory’s compliance with CLIA.
This information is needed for a
laboratory’s CLIA certification and
recertification; Frequency:
Recordkeeping and Reporting—
Biennially; Affected Public: Business or
other for-profit, Not-for-profit
institutions, Federal, State, Local or
Tribal Government; Number of
Respondents: 25,000; Total Annual
Responses: 12,500; Total Annual Hours:
6,250.
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Income and
Eligibility Verification System Reporting
in Section 1137 of the Social Security
Act and Supporting Regulations in 42
CFR 431.17, 431.306, 435.910, 435.920,
435.940–435.960; Form Number: CMS–
R–0074 (OMB#: 0938–0467); Use: This
information is used to verify the income
and eligibility of Medicaid applicants
and recipients as required by Section
1137 of the Social Security Act; Affected
Public: Individuals or Households and
State, Local or Tribal Government;
Number of Respondents: 54; Total
Annual Responses: 54; Total Annual
Hours: 124,054.
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Annual Early
and Periodic Screening, Diagnostic and
Treatment Services (EPSDT)
Participation Report; Form No.: CMS–
416 (OMB #0938–0354); Use: States are
required to submit an annual report on
the provision of EPSDT services to CMS
pursuant to section 1902(1)(43)(D) of the
Social Security Act. These reports
provide CMS with data necessary to
assess the effectiveness of State EPSDT
programs, to determine a state’s results
in achieving its participation goal, and
to respond to inquiries; Frequency:
E:\FR\FM\27JAN1.SGM
27JAN1
4584
Federal Register / Vol. 71, No. 18 / Friday, January 27, 2006 / Notices
Annually; Affected Public: State, Local
or Tribal Government; Number of
Respondents: 56; Total Annual
Responses: 56; Total Annual Hours:
1,568.
4. Type of Information Collection
Request: New Collection; Title of
Information Collection: Rehabilitation
Unit Criteria Work Sheet and
Rehabilitation Hospital Criteria Work
Sheet and Supporting Regulations at 42
CFR 488.26; Form Number: CMS–437A
and CMS–437B (OMB#: 0938–NEW—
NOTE: These instruments are currently
approved under 0938–0358 but are
being carved out into a separate
collection as they are updated more
frequently.); Use: The rehabilitation
hospital and rehabilitation unit criteria
work sheets are necessary to verify that
these facilities/units comply and remain
in compliance with the exclusion
criteria for the Medicare prospective
payment system; Frequency: Annually;
Affected Public: Business or other-forprofit, Not-for-profit institutions, and
State, Local, or Tribal Government;
Number of Respondents: 1227; Total
Annual Responses: 1227; Total Annual
Hours: 306.75.
To obtain copies of the supporting
statement and any related forms for
these paperwork collections referenced
above, access CMS Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995, or email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (410) 786–
1326.
To be assured consideration,
comments and recommendations for the
proposed information collections must
be received by the OMB Desk Officer at
the address below, no later than 5 p.m.
on February 27, 2006. OMB Human
Resources and Housing Branch,
Attention: Brenda Aguilar, CMS Desk
Officer, New Executive Office Building,
Room 10235, Washington, DC 20503.
rmajette on PROD1PC67 with NOTICES
Dated: January 12, 2006.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 06–605 Filed 1–26–06; 8:45 am]
BILLING CODE 4120–01–P
VerDate Aug<31>2005
15:17 Jan 26, 2006
Jkt 208001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10173]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Agency: Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS), Department of Health
and Human Services, is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate or any other aspect of this
collection of information, including any
of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the Agency’s function;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
1. Type of Information Collection
Request: New Collection; Title of
Information Collection: Individuals
Authorized Access to the CMS
Computer Services; Form Number:
CMS–10173 (OMB#: 0938–NEW); Use:
The Centers for Medicare and Medicaid
Services (CMS) is requesting the Office
of Management and Budget (OMB)
approval of the Individuals Authorized
to Customer Service Application for
Access to CMS Computer Systems. CMS
has planned to provide a centralized
user provisioning and administration
service that supports the creation,
deletion, and lifecycle management of
enterprise identities. This service
creates accounts, supports Role Based
Access Control (RBAC), the form flow
approval process and enterprise identity
audit and recertification, and provides
business application integration points.
An application integration point allows
business application owners to use the
form flow process of the user
provisioning service to approve or deny
requests for access to business
applications. The primary purpose of
this system is to implement a unified
framework for managing user
information and access rights, for those
individuals who apply for and are
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granted access across multiple CMS
systems and business contexts.
Information in this system will also be
used to: (1) Support regulatory and
policy functions performed within the
Agency or by a contractor or consultant;
(2) support constituent requests made to
a Congressional representative; and (3)
to support litigation involving the
Agency related to this system.;
Frequency: Other—As required;
Affected Public: Business or other-forprofit, Individuals or Households, Notfor-profit institutions, Federal
government, and State, local, or tribal
government; Number of Respondents:
60,000,000; Total Annual Responses:
60,000,000; Total Annual Hours:
15,000,000.
To obtain copies of the supporting
statement and any related forms for
these paperwork collections referenced
above, access CMS Web Site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995, or email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (410) 786–
1326.
To be assured consideration,
comments and recommendations for the
proposed information collections must
be received by the OMB Desk Officer at
the address below, no later than 5 p.m.
on February 27, 2006. OMB Human
Resources and Housing Branch,
Attention: Carolyn Lovett, CMS Desk
Officer, New Executive Office Building,
Room 10235, Washington, DC 20503.
Dated: January 18, 2006.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 06–717 Filed 1–26–06; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare and Medicaid
Services
[CMS–2228–PN]
Medicare and Medicaid Programs;
¨
Application by the TUV Healthcare
Specialists for Deeming Authority for
Hospitals
Centers for Medicare and
Medicaid Services, HHS.
ACTION: Proposed notice.
AGENCY:
SUMMARY: This proposed notice
acknowledges the receipt of an
¨
application from the TUV Healthcare
E:\FR\FM\27JAN1.SGM
27JAN1
]]>Agencies
[Federal Register Volume 71, Number 18 (Friday, January 27, 2006)]
[Notices]
[Pages 4583-4584]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 06-605]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-1557, CMS-R-0074, CMS-416, CMS-437A and 437B]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS), Department of Health and Human Services, is publishing
the following summary of proposed collections for public comment.
Interested persons are invited to send comments regarding this burden
estimate or any other aspect of this collection of information,
including any of the following subjects: (1) The necessity and utility
of the proposed information collection for the proper performance of
the Agency's function; (2) the accuracy of the estimated burden; (3)
ways to enhance the quality, utility, and clarity of the information to
be collected; and (4) the use of automated collection techniques or
other forms of information technology to minimize the information
collection burden.
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Survey Report
Form Clinical Laboratory Improvement Amendments (CLIA) and supporting
regulations under 42 CFR 493.1-493.2001; Form Number: CMS-1557
(OMB: 0938-0544); Use: This form is used by the State agency
to determine a laboratory's compliance with CLIA. This information is
needed for a laboratory's CLIA certification and recertification;
Frequency: Recordkeeping and Reporting--Biennially; Affected Public:
Business or other for-profit, Not-for-profit institutions, Federal,
State, Local or Tribal Government; Number of Respondents: 25,000; Total
Annual Responses: 12,500; Total Annual Hours: 6,250.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Income and
Eligibility Verification System Reporting in Section 1137 of the Social
Security Act and Supporting Regulations in 42 CFR 431.17, 431.306,
435.910, 435.920, 435.940-435.960; Form Number: CMS-R-0074
(OMB: 0938-0467); Use: This information is used to verify the
income and eligibility of Medicaid applicants and recipients as
required by Section 1137 of the Social Security Act; Affected Public:
Individuals or Households and State, Local or Tribal Government; Number
of Respondents: 54; Total Annual Responses: 54; Total Annual Hours:
124,054.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Annual Early and
Periodic Screening, Diagnostic and Treatment Services (EPSDT)
Participation Report; Form No.: CMS-416 (OMB 0938-0354); Use:
States are required to submit an annual report on the provision of
EPSDT services to CMS pursuant to section 1902(1)(43)(D) of the Social
Security Act. These reports provide CMS with data necessary to assess
the effectiveness of State EPSDT programs, to determine a state's
results in achieving its participation goal, and to respond to
inquiries; Frequency:
[[Page 4584]]
Annually; Affected Public: State, Local or Tribal Government; Number of
Respondents: 56; Total Annual Responses: 56; Total Annual Hours: 1,568.
4. Type of Information Collection Request: New Collection; Title of
Information Collection: Rehabilitation Unit Criteria Work Sheet and
Rehabilitation Hospital Criteria Work Sheet and Supporting Regulations
at 42 CFR 488.26; Form Number: CMS-437A and CMS-437B (OMB:
0938-NEW--NOTE: These instruments are currently approved under 0938-
0358 but are being carved out into a separate collection as they are
updated more frequently.); Use: The rehabilitation hospital and
rehabilitation unit criteria work sheets are necessary to verify that
these facilities/units comply and remain in compliance with the
exclusion criteria for the Medicare prospective payment system;
Frequency: Annually; Affected Public: Business or other-for-profit,
Not-for-profit institutions, and State, Local, or Tribal Government;
Number of Respondents: 1227; Total Annual Responses: 1227; Total Annual
Hours: 306.75.
To obtain copies of the supporting statement and any related forms
for these paperwork collections referenced above, access CMS Web site
address at https://www.cms.hhs.gov/PaperworkReductionActof1995, or e-
mail your request, including your address, phone number, OMB number,
and CMS document identifier, to Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (410) 786-1326.
To be assured consideration, comments and recommendations for the
proposed information collections must be received by the OMB Desk
Officer at the address below, no later than 5 p.m. on February 27,
2006. OMB Human Resources and Housing Branch, Attention: Brenda
Aguilar, CMS Desk Officer, New Executive Office Building, Room 10235,
Washington, DC 20503.
Dated: January 12, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 06-605 Filed 1-26-06; 8:45 am]
BILLING CODE 4120-01-P
